Karen C Regan, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F330615-1 Issued in NY

Practice address

28 Church St
Camden, NY 13316-1428

Phone

(315) 245-3192

Fax

(315) 245-3195

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rome Medical Group, P.C.

  • Family Medicine Physician
  • Rome, NY
  • NPI 1407892342
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1255429593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CHURCH ST",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133161428",
            "telephone_number": "315-245-3192",
            "fax_number": "315-245-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CHURCH ST",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133161428",
            "telephone_number": "315-245-3192",
            "fax_number": "315-245-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "KAREN",
        "middle_name": "C",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330615-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "F330615-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Poulin Eyecare Inc.
• Poulin Optometric Eyecare , PLLC
• Ronald H Poulin, O.D.
• Amy Olivia Redmond
• Reflections Counseling Services
• Makenna Reinold, MS, OTR/L
• Susan Richards
• Omar A Rivera, LPN
• Rome Memorial Hospital, Inc
• Ronald Scales

• All providers in Camden, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.